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CPT 57106: Partial Vaginectomy, Upper One-Third or Lower Two-Thirds
CPT code 57106 denotes a partial vaginectomy in which either the upper one third or the lower two thirds of the vagina is excised. This gynecologic surgical code captures a specialized operative procedure used for treatment of malignancy, severe tissue damage, or other structural pathology requiring removal of a segment of the vagina. Nationally, accurate coding for this procedure matters for surgical quality reporting, appropriate reimbursement, and consistent clinical documentation across hospital and ambulatory surgical settings.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical intent of the code, expected sites of service, and common billing modifiers associated with complex surgical care. The publication outlines typical documentation elements, potential charge-line considerations, and where 57106 fits within gynecologic surgical coding practice.
The report is intended to help billing staff, clinical coders, and compliance officers understand the clinical context and billing implications of CPT code 57106, identify common coding scenarios, and locate relevant reference points for payer adjudication and internal coding policies.
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Billing Code Overview
CPT code 57106 describes a surgical procedure in which the provider removes either the upper one third or the lower two thirds of the vagina. This procedure is a form of partial vaginectomy performed for therapeutic reasons related to gynecologic disease or injury.
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Service type: Surgical gynecologic procedure
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Typical site of service: Hospital operating room or ambulatory surgical center
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